Ryan Dirks, PA
Medical · Puyallup, WANPI 1881889731
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,100 of the $3,140 with a category attached, or 66.9%. Reprise Biomedical, Inc. accounts for 91.0% of it on its own, with 3 other manufacturers making up the rest. 2025 is the largest year on record at $2,858, more than ten times the $20 reported in 2021.
Across 8 payments — averaging $392.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Reprise Biomedical, Inc.$3K
- Progenacare Global, LLC$151
- Smith+Nephew$115
- Kerecis Limited$16
What the payments were for
- Consulting fees$2,10067%
- Travel & lodging$72023%
- Food & beverage$32010%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Reprise Biomedical, Inc. | 4 | $2,858 |
| Progenacare Global, LLC | 1 | $151 |
| Smith+Nephew | 2 | $115 |
| Kerecis Limited | 1 | $16 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- MIRO3D$2,820
How this compares
$3,140 in reported general payments places this provider in the 85th percentile of 457 medical providers in Washington.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other medical in Puyallup
- Suzanne RichardsonPuyallup$7K
- Eunice ParkPuyallup$6K
- Carolyn ObrienPuyallup$5K
- Diana McFarlaneSeattle$95K
- Karissa SecoraTacoma$53K
- Tori FranklinLakewood$23K
- Salvador LopezYakima$17K
- Amy NelsonSeattle$15K
- Rebecca JohnsonSpokane$14K
- Jonathan CyphersBurien$13K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.